Tali Moore

Pediatrics Physician · Skokie, IL

Individual Active NPI

NPI number 1679152169

Practice location

4709 Golf Rd Ste 900
Skokie, IL 60076-1244
Phone
(847) 676-5394

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NPI record

NPI
1679152169
Entity type
Individual (Type 1)
Enumeration date
April 3, 2021
Last updated
July 24, 2026
Certified
July 24, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 125078811 IL
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

1675 Dempster St
Park Ridge, IL 60068-1110

About Tali Moore

Tali Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 4709 Golf Rd Ste 900, Skokie, IL 60076-1244. The NPI number 1679152169 was assigned on April 3, 2021 and the record was last updated on July 24, 2026.

Tali Moore lists a license in the registry: #125078811 (IL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tali Moore?

The NPI number is 1679152169.

What is the phone number of Tali Moore?

The phone number listed for the practice location is (847) 676-5394.

Where is Tali Moore located?

4709 Golf Rd Ste 900, Skokie, IL 60076-1244.

What is the taxonomy code for Tali Moore?

The primary taxonomy code is 208000000X – Pediatrics Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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